{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,7]],"date-time":"2026-11-07T17:13:48Z","timestamp":1794071628377,"version":"4.8.0"},"reference-count":47,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"unspecified","delay-in-days":2,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004212","name":"P\u00e4ivikki ja Sakari Sohlbergin S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004212","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Finnish partner companies"},{"DOI":"10.13039\/501100014438","name":"Business Finland","doi-asserted-by":"publisher","award":["5794\/31\/2016"],"award-info":[{"award-number":["5794\/31\/2016"]}],"id":[{"id":"10.13039\/501100014438","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014438","name":"Business Finland","doi-asserted-by":"publisher","award":["5941\/31\/2016"],"award-info":[{"award-number":["5941\/31\/2016"]}],"id":[{"id":"10.13039\/501100014438","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014438","name":"Business Finland","doi-asserted-by":"publisher","award":["6057\/31\/2016"],"award-info":[{"award-number":["6057\/31\/2016"]}],"id":[{"id":"10.13039\/501100014438","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open Sport Exerc Med"],"accepted":{"date-parts":[[2023,2,15]]},"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the effects of 4\u2009months of customised, home-based exergaming on physical function and pain after total knee replacement (TKR) compared with standard exercise protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this non-blinded randomised controlled trial, 52 individuals aged 60\u201375 years undergoing TKR were randomised into an exergaming (intervention group, IG) or a standard exercising group (control group, CG). Primary outcomes were physical function and pain measured before and after (2 months and 4 months) surgery using the Oxford Knee Score (OKS) and Timed Up and Go (TUG) test. Secondary outcomes included measures of the Visual Analogue Scale, 10m walking, short physical performance battery, isometric knee extension and flexion force, knee range of movement and satisfaction with the operated knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Improvement in mobility measured by TUG was greater in the IG (n=21) at 2 (p=0.019) and 4 months (p=0.040) than in the CG (n=25). The TUG improved in the IG by \u22121.9\u2009s (95% CI, \u22122.9 to \u22121.0), while it changed by \u22120.6\u2009s (95%\u2009CI \u22121.4 to 0.3) in the CG. There were no differences between the groups in the OKS or secondary outcomes over 4 months. 100% of patients in the IG and 74% in the CG were satisfied with the operated knee.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In patients who have undergone TKR, training at home with customised exergames was more effective in mobility and early satisfaction and as effective as standard exercise in pain and other physical functions. In both groups, knee-related function and pain improvement can be considered clinically meaningful.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"clintrialgov\" xlink:href=\"NCT03717727\">NCT03717727<\/jats:ext-link>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjsem-2022-001416","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T05:26:15Z","timestamp":1678944375000},"page":"e001416","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":20,"title":["Effects of a home-based, exergaming intervention on physical function and pain after total knee replacement in older adults: a randomised controlled trial"],"prefix":"10.1136","volume":"9","clinical-trial-number":[{"clinical-trial-number":"nct03717727","registry":"10.18810\/clinical-trials-gov"},{"clinical-trial-number":"nct03717727","registry":"10.18810\/clinical-trials-gov"}],"author":[{"given":"Maarit","family":"Janhunen","sequence":"first","affiliation":[{"name":"Faculty of Sport and Health Sciences, University of Jyv\u00e4skyl\u00e4, Jyv\u00e4skyl\u00e4, Finland"},{"name":"Faculty of Health and Well-being, Turku University of Applied Sciences, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niina","family":"Katajapuu","sequence":"additional","affiliation":[{"name":"Faculty of Health and Well-being, Turku University of Applied Sciences, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juha","family":"Paloneva","sequence":"additional","affiliation":[{"name":"Department of Surgery, Central Finland Healthcare District and University of Eastern Finland, Jyv\u00e4skyl\u00e4, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konsta","family":"Pamilo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Coxa Hospital for Joint Replacement, Tampere, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Airi","family":"Oksanen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannes","family":"Keemu","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikko","family":"Karvonen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Turku University Hospital and University of Turku, Turku, 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